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Hulme A, Sangelaji B, Walker C, Fallon T, Denham J, Martin P, Woodruffe S, Bell K, Aniftos M, Kirkpatrick J, Cotter N, Osborn D, Argus G. Efficacy of a student-led interprofessional health clinic in regional Australia for preventing and managing chronic disease. J Interprof Care 2024; 38:893-906. [PMID: 39045867 DOI: 10.1080/13561820.2024.2380436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 07/03/2024] [Accepted: 07/06/2024] [Indexed: 07/25/2024]
Abstract
Increasing chronic disease rates in regional Australian communities necessitates innovative models of healthcare. We evaluated the efficacy of an interprofessional chronic disease program, delivered within a regional student-led nursing and allied health clinic in Southern Queensland, Australia. Changes to anthropometric, aerobic fitness and strength, and quality of life outcomes were examined at four time points spanning 16 months: intake, program transition (4 months), 6 and 12 months (post-transition). Our primary aim was to investigate whether the health improvements achieved during the program were sustained at 12 months in a subset of participants who provided complete data. Significant improvements were found in 6 of 11 measures, including the 6-minute walk test, grip strength, and self-reported quality of life across physical and psychosocial dimensions, with these improvements maintained to final review. No significant changes were found in body mass index (BMI), waist circumference, fat mass, or muscle mass. This is the first health clinic in regional Australia to deliver a student-led model of interprofessional and collaborative service to tackle the increasing burden of chronic disease in the community. The cost-effectiveness of this service and other potential clinical and social benefits remain to be investigated.
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Affiliation(s)
- Adam Hulme
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Bahram Sangelaji
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Clara Walker
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Tony Fallon
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Joshua Denham
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
- School of Health and Medical Sciences Ipswich Campus, University of Southern Queensland, Ipswich, Queensland, Australia
| | - Priya Martin
- Rural Clinical School (RCS), Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia
| | - Steve Woodruffe
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Kate Bell
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Michelle Aniftos
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Jayne Kirkpatrick
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Nicola Cotter
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Dayle Osborn
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
| | - Geoff Argus
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Toowoomba, Queensland, Australia
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba, Queensland, Australia
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Garavelis K, Hayes N, Maloney M, Liddle K, Moritz K, Gullo MJ, Rose T, Gullo H, McMah R, Heussler H, Reid N. Student experiences in a novel interprofessional neurodevelopmental clinic: a qualitative study. BMC MEDICAL EDUCATION 2024; 24:874. [PMID: 39138469 PMCID: PMC11323686 DOI: 10.1186/s12909-024-05756-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/09/2024] [Indexed: 08/15/2024]
Abstract
BACKGROUND Student-led clinics can provide low-cost speciality care and practical interprofessional education (IPE) opportunities. In Australia, there are currently limited speciality services available that provide neurodevelopmental assessments that consider fetal alcohol spectrum disorder (FASD) as one possible outcome. The aim of the current study was to understand student experiences in a novel interprofessional student-led clinic for children and adolescents with suspected or confirmed prenatal alcohol exposure. METHOD Seventeen allied health university students (11 occupational therapy; 6 psychology) participated in individual semi-structured interviews following completion of a 10-week clinic placement. Reflexive thematic analysis was undertaken using NVivo12. RESULTS Four main themes were generated: (1) Interprofessional practice a key for students' development as future healthcare professionals; (2) Meaningful relationships and students' belief they made a difference; (3) Novel challenges tested students' capabilities on placement; and (4) Supervisor attitude and approach to learning supported student development. CONCLUSIONS The current study demonstrated that the interprofessional student-led neurodevelopmental clinic provided a valuable IPE opportunity for students.
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Affiliation(s)
- Khari Garavelis
- School of Psychology, The University of Queensland, Brisbane, QLD, Australia
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
| | - Nicole Hayes
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
| | - Maree Maloney
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Karen Liddle
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
- Children's Health Queensland, Queensland, Brisbane, Australia
| | - Karen Moritz
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
| | - Matthew J Gullo
- School of Applied Psychology, Griffith University, Griffith, Australia
- Centre for Mental Health, Griffith University, Griffith, Australia
| | - Tanya Rose
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Hannah Gullo
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Rebecca McMah
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
| | - Helen Heussler
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia
- Children's Health Queensland, Queensland, Brisbane, Australia
| | - Natasha Reid
- Child Health Research Centre, The University of Queensland, 62 Graham Street South Brisbane, Brisbane, QLD, 4121, Australia.
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Channa S, Topping A, Willis C, Melody T, Pearce R. Clinical learning experiences of healthcare professional students in a student-led clinical learning environment (SLCLE) - A mixed methods evaluation. Nurse Educ Pract 2024; 79:104035. [PMID: 38972251 DOI: 10.1016/j.nepr.2024.104035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 06/07/2024] [Accepted: 06/15/2024] [Indexed: 07/09/2024]
Abstract
AIM To evaluate healthcare professional (HCP) students clinical learning experiences' whilst undertaking placements in a student-led clinical learning environment (SLCLE) and any changes in self-reported ratings of confidence. BACKGROUND The English NHS Long Term Workforce Plan (2023) highlights the need to expand domestic education of HCPs to meet workforce shortages. The demand for quality clinical placements to support the preparation of HCP students remains a challenge globally. A creative solution has been the development of student-led learning clinical environments in healthcare settings. SLCLEs provide high-quality learning experience, increase clinical placement capacity whilst maintaining patient care standards. A multisite NHS Trust adopted this model as evidence suggests HCP students will be better prepared on qualification to adopt registered practitioner professional responsibilities. This model has been integrated across three hospital sites within a large teaching hospital, providing care for a diverse population and designed to accommodate students from a range of HCP disciplines and higher educational institutions. DESIGN A mixed methods convergent design. METHODS An online survey was administered to SLCLE allocated nursing and allied health profession (AHP) undergraduate and graduate-entry first, second and third-year students (n=132). Face to face focus groups/individual interviews were undertaken with a purposive sample of student participants (n=80) to evaluate their experiences of clinical learning in SLCLEs. Survey data were analysed using descriptive statistics and paired t-tests, interviews using framework method. RESULTS Undergraduate and graduate-entry students from four UK universities completed the survey (n=132), 103 students (78 %) responded. Most were year 2 students (n=43/42 %), pursuing nursing programmes (n=82/80 %). Most considered the SLCLE met their expectations (n=76/74 %), reported increased confidence post-placement (n=84/82 %), felt supported by staff (n=80/78 %), peers (n=93/90 %) and clinical educators (n=93/90 %). Self-reported confidence scores post-SLCLE were significantly higher than pre-SLCLE. On-line pre-placement information was infrequently accessed yet identified as an omission. Four themes were identified: (i) preconceptions and initial anxiety; (ii) empowerment, growth and a unique learning experience; (iii) collaborative inter-professional learning and support; and (iv) insights and anticipations. CONCLUSIONS The SLCLE allocation enhanced students' confidence and knowledge. Support from clinical educators, ward staff and doctors was perceived as invaluable for creating a positive learning culture. Peer support and opportunities to lead care delivery contributed to students' professional development. The format and method for providing pre-placement information needs review as do strategies for avoiding delays in completing assessment documentation. Overall, the SLCLE experience offers much potential as a nurturing and effective learning environment for HCP students.
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Affiliation(s)
- Sunita Channa
- University Hospitals Birmingham NHS Foundation Trust, School of Nursing, AHPs and Midwifery, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, United Kingdom.
| | - Annie Topping
- School of Nursing and Midwifery, College of Medicine and Health, University of Birmingham, United Kingdom; School of Nursing, AHPs and Midwifery, Integrated Clinical Academic Office, University Hospitals Birmingham NHS Foundation Trust, United Kingdom
| | - Carol Willis
- University Hospitals Birmingham NHS Foundation Trust, School of Nursing, AHPs and Midwifery, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, United Kingdom
| | - Teresa Melody
- University Hospitals Birmingham NHS Foundation Trust, School of Nursing, AHPs and Midwifery, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, United Kingdom
| | - Ruth Pearce
- University Hospitals Birmingham NHS Foundation Trust, School of Nursing, AHPs and Midwifery, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, United Kingdom
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Miller D, Mugridge S, Elder M, Holt M, Liu KPY. Student-led activities of daily living group program in a hospital inpatient rehabilitation setting. Aust Occup Ther J 2024; 71:486-498. [PMID: 38339960 DOI: 10.1111/1440-1630.12937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 01/23/2024] [Accepted: 01/24/2024] [Indexed: 02/12/2024]
Abstract
INTRODUCTION Occupational therapists have vital roles in inpatient rehabilitation to focus on independence in activities of daily living. Occupational therapy interventions are uniquely designed to address goals of service users and can be delivered individually or in group formats. Group interventions promote service users' mutual support and enable therapists to increase frequency and intensity of service provision. Student-led programs have become an attractive model, benefiting students while providing positive treatment outcomes for service users. There is an emerging body of literature that explores service users' and students' satisfaction with student-led group models of practice within inpatient rehabilitation and occupational performance outcomes of service users participating in student-led programs. This study aimed to explore the satisfaction of service users and students in addition to the self-reported occupational performance outcomes of a student-led activities of daily living group program in inpatient rehabilitation. METHODS Data from 33 service users and seven students were collected retrospectively. The intervention involved a student-led activities of daily living group program, consisting of three groups: breakfast, morning tea, and home readiness group. All service users and students completed unique satisfaction surveys at the conclusion of their participation in the student-led program. Service users completed a self-reported activities of daily living performance measure pre- and post-program. Findings were reported in descriptive statistics, and pre- and post-program data were compared with the Wilcoxon signed-rank test. RESULTS All students were satisfied with the student-led program. Majority of service users were satisfied with all components of the student-led program. Median scores for self-reported performance increased significantly following the student-led program (P < 0.001). CONCLUSION This study highlighted that service users and students were satisfied with the service delivery of a student-led activities of daily living group program. The program was effective in addressing self-reported performance for service users in inpatient rehabilitation. The findings from this study have potential to inform clinical practice on the implementation of student-led programs in occupational therapy settings.
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Affiliation(s)
- Dione Miller
- School of Health Sciences, Western Sydney University, Penrith, Australia
| | - Sarah Mugridge
- South Western Sydney Local Health District, Liverpool, Australia
| | - Meagan Elder
- South Western Sydney Local Health District, Liverpool, Australia
| | - Megan Holt
- South Western Sydney Local Health District, Liverpool, Australia
| | - Karen P Y Liu
- School of Health Sciences, Western Sydney University, Penrith, Australia
- South Western Sydney Local Health District, Liverpool, Australia
- Translational Health Research Institute, Western Sydney University, Penrith, Australia
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
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Maughan E, Richardson C, Nazar H. A cross-sectional investigation of a mobile health clinic run by undergraduate pharmacy students providing services to underserved communities. Int J Clin Pharm 2024:10.1007/s11096-024-01783-1. [PMID: 39046691 DOI: 10.1007/s11096-024-01783-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2024] [Accepted: 07/17/2024] [Indexed: 07/25/2024]
Abstract
BACKGROUND Mobile health clinics have been used to provide healthcare to underserved communities, especially during the COVID-19 pandemic. Student-led clinics, operated by undergraduate health students, offer valuable training while serving these populations. AIM This cross-sectional study investigated the demographic characteristics and services provided by a mobile health clinic run by undergraduate pharmacy students, assessing its potential to reach underserved communities. METHOD The mobile health clinic operated from October 2023 to April 2024, staffed by 36 fourth-year pharmacy students. Services included cardiovascular disease risk screening and lifestyle advice. Demographic and service data were collected using an electronic primary care system and analysed with descriptive statistics. RESULTS The clinic served 716 users, with a demographic breakdown of 53.2% female and 46.8% male, predominantly aged 31-60 years. Users were ethnically diverse. Services provided included blood pressure (91.3%), BMI (91.3%), and diabetes risk assessments (54.9%). Many users reported low risk for smoking and alcohol consumption, but varied levels of physical activity. Referrals were made for cardiovascular disease risk and lifestyle support. CONCLUSION The mobile health clinic effectively reached a diverse, underserved population, providing essential health services and facilitating student training. Further research is needed to evaluate the long-term impact and cost-effectiveness of such clinics, and the follow-up care for referred patients.
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Affiliation(s)
- Emily Maughan
- The Grainger Suite, Newcastle GP Services, Dobson House, Newcastle-Upon-Tyne, NE3 3PF, UK
| | | | - Hamde Nazar
- School of Pharmacy, Newcastle University, Newcastle-Upon-Tyne, NE1 7RU, UK.
- Newcastle NIHR Patient Safety Research Collaboration, Newcastle University, Newcastle-Upon-Tyne, NE1 7RU, UK.
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Prestes Vargas J, Smith M, Chipchase L, Morris ME. Impact of interprofessional student led health clinics for patients, students and educators: a scoping review. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2024:10.1007/s10459-024-10342-2. [PMID: 38842784 DOI: 10.1007/s10459-024-10342-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 05/12/2024] [Indexed: 06/07/2024]
Abstract
BACKGROUND Although interprofessional student led health clinics have been implemented worldwide, the impact of this model await confirmation. OBJECTIVES To conduct a critical analysis of the literature on interprofessional student led clinics, and the views of stakeholders on feasibility and the barriers and facilitators to implementation. DESIGN A scoping review, evidence synthesis and quality appraisal were conducted using PRISMA Scr. Eight databases were searched from 2003 to 2023: Medline (Ovid), Embase (Ovid), CINAHL (EBSCO), Cochrane, Scopus, ERIC, Web of Science and Informit Health Collection. A qualitative descriptive approach was used to analyse data from patients, students and educators and inductive thematic analysis identified emergent themes. RESULTS Forty-six studies were included from a yield of 3140 publications. A key theme to emerge was that patients perceived improvements in their health and wellbeing and valued gaining health information from student led clinics. Student experiences were mostly positive although some found it challenging to work in interprofessional teams and roles were not always clear. The clinics enabled students to improve communication skills and autonomy. Clinical educators reported that students benefited from experiential learning within an interprofessional context. The clinics were feasible, provided that sufficient funding, infrastructure, staff and resources were available. Barriers to implementation included lack of funding, excessive waiting times and non-aligned student timetables. Pre-clinic orientation and support from on-site clinical educators facilitated implementation. CONCLUSIONS Despite some challenges with implementing interprofessional student led clinics, they can have a positive impact on student learning and patient experiences.
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Affiliation(s)
- Janine Prestes Vargas
- School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, 3086, Australia
| | - Moira Smith
- School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, 3086, Australia
- College of Healthcare Sciences, Department of Physiotherapy, James Cook University, Townsville, QLD, 4814, Australia
| | - Lucy Chipchase
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, 5042, Australia
| | - Meg E Morris
- Victorian Rehabilitation Centre, Glen Waverley, and ARCH and CERI La Trobe University, Bundoora, VIC, 3086, Australia.
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Cadet T, Cusimano J, McKearney S, Honaker J, O'Neal C, Taheri R, Uhley V, Zhang Y, Dreker M, Cohn JS. Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. J Interprof Care 2024; 38:476-485. [PMID: 38124506 PMCID: PMC11009096 DOI: 10.1080/13561820.2023.2283119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 11/02/2023] [Indexed: 12/23/2023]
Abstract
Empirical evidence indicates that collaborative interprofessional practice leads to positive health outcomes. Further, there is an abundance of evidence examining student and/or faculty perceptions of learning or satisfaction about the interprofessional education (IPE) learning experience. However, there is a dearth of research linking IPE interventions to patient outcomes. The objective of this scoping review was to describe and summarize the evidence linking IPE interventions to the delivery of effective patient care. A three-step search strategy was utilized for this review with articles that met the following criteria: publications dated 2015-2020 using qualitative, quantitative or mixed methods; the inclusion of healthcare professionals, students, or practitioners who had experienced IPE or training that included at least two collaborators within coursework or other professional education; and at least one of ten Centers for Medicare & Medicaid Services quality measures (length of stay, medication errors, medical errors, patient satisfaction scores, medication adherence, patient and caregiver education, hospice usage, mortality, infection rates, and readmission rates). Overall, n=94 articles were identified, providing overwhelming evidence supporting a positive relationship between IPE interventions and several key quality health measures including length of stay, medical errors, patient satisfaction, patient or caregiver education, and mortality. Findings from this scoping review suggest a critical need for the development, implementation, and evaluation of IPE interventions to improve patient outcomes.
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Affiliation(s)
- Tamara Cadet
- School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA
| | - Joseph Cusimano
- Bernard J. Dunn School of Pharmacy, Shenandoah University, Winhester, VA, USA
| | - Shelley McKearney
- Interprofessional Education Collaborative, BS Seton Hall University, South Orange, NJ, USA
| | | | - Cynthia O'Neal
- School of Nursing, University of Texas Health Science Center, San Antonio, Texas, USA
| | - Reza Taheri
- Pharmacy Practice Department, Chapman University, Irvine, CA, USA
| | - Virginia Uhley
- Department of Foundational Medical Studies, Department of Family Medicine and Community Health, Oakland University, Rochester, MI, USA
| | - Yingting Zhang
- Department of Medicine, Research Services Librarian Library Faculty, Robert Wood Johnson Library of the Health Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
| | - Margaret Dreker
- Hackensack Meridian School of Medicine, Seton Hall University, Nutley, NJ, USA
| | - Judith S Cohn
- Health Sciences Library, Information Services and Department of Health Sciences Libraries Department, George F. Smith Library of the Health Sciences, The State University of New Jersey, Newark, NJ, USA
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8
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Garavelis KN, Hayes N, Rose TA, Maloney M, Liddle K, Moritz K, Gullo M, Gullo HL, McMah R, Heussler H, Reid N. Exploring the experience of service users following attendance at a student-led interprofessional neurodevelopmental clinic. Disabil Rehabil 2024; 46:1298-1308. [PMID: 37029616 DOI: 10.1080/09638288.2023.2193430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 03/16/2023] [Indexed: 04/09/2023]
Abstract
PURPOSE The aim of the current study was to understand service users' experiences at a recently established student-led interprofessional neurodevelopmental clinic for children and adolescents with suspected or confirmed prenatal alcohol exposure. METHOD Semi-structured interviews were completed at 3-months post-clinic attendance with 10 service users: eight parents/caregivers and two youth workers/case managers. Interview data were analysed thematically using NVivo12. RESULTS Four main themes were developed: (1) clinic attendance seen as a positive event; (2) validation, clarification, and relief, but also challenges post-assessment; (3) need for further support and importance of advocacy; and (4) drawing on lived experiences for future service improvements. CONCLUSIONS The current study demonstrated that service users reported benefits from tailored services delivered by student practitioners that were validating, supportive, and holistic. Findings from the current study can inform the development and implementation of future innovative service delivery models for individuals with suspected or confirmed prenatal alcohol exposure.
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Affiliation(s)
- Khari Nicola Garavelis
- Child Health Research Centre, The University of Queensland, Brisbane, South Brisbane, Australia
| | - Nicole Hayes
- Child Health Research Centre, The University of Queensland, Brisbane, South Brisbane, Australia
| | - Tanya A Rose
- The University of Queensland, Brisbane, Australia
| | - Maree Maloney
- Child Health Research Centre, The University of Queensland, Brisbane, South Brisbane, Australia
| | - Karen Liddle
- Faculty of Medicine, Child Health Research Centre, The University of Queensland, South Brisbane, Australia
| | - Karen Moritz
- Faculty of Medicine, Child Health Research Centre, The University of Queensland, South Brisbane, Australia
| | - Matthew Gullo
- National Centre for Youth Substance Abuse Research, The University of Queensland, Saint Lucia, Australia
| | - Hannah L Gullo
- School of Health and Rehabilitation Sciences, The University of Queensland, Therapies Annexe, St Lucia Campus, Brisbane, Australia
| | - Rebeccah McMah
- School of Health and Rehabilitation Sciences, The University of Queensland, Therapies Annexe, St Lucia Campus, Brisbane, Australia
| | - Helen Heussler
- Faculty of Medicine, Child Health Research Centre, The University of Queensland, South Brisbane, Australia
| | - Natasha Reid
- Child Health Program, Children's Health Queensland Hospital and Health Service, Brisbane, Australia
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Walker C, Sangelaji B, Osborn D, Cotter N, Argus G, Hulme A. Findings, progress, and lessons learned during the first 3 years of a student-led interprofessional health clinic in regional Australia. J Interprof Care 2024; 38:403-408. [PMID: 38019125 DOI: 10.1080/13561820.2023.2282084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 11/04/2023] [Indexed: 11/30/2023]
Abstract
We describe the establishment and operation of a student-led interprofessional chronic disease prevention and management clinic in regional Australia. Our aim was twofold. First, to report on service delivery, student placement, and health outcome data; and second, to discuss key lessons learned during the first 3½ years of clinic operations. Between July 2019 and December 2022, 146 (79.3%) clinic participants completed the 4-month program and participated in an average of 48.4 occasions of service (total 7,060). The clinic supported 1,060 clinical placement weeks across 147 health students. There was a significant improvement across health measures reported at program completion, with the largest changes observed for the 6-min walk test and preference-adjusted quality of life. Nine key challenges and lessons were identified that affected operations and service delivery, which should be of interest to healthcare teams considering establishing an interprofessional student-led clinic.
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Affiliation(s)
- Clara Walker
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Bahram Sangelaji
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Dayle Osborn
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
| | - Nicola Cotter
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
| | - Geoff Argus
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Adam Hulme
- Southern Queensland Rural Health (SQRH), Faculty of Health and Behavioural Science, The University of Queensland, Harlaxton, Queensland, Australia
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Bradley KJ, Wros P, Bookman N, Mathews LR, Voss H, Ostrogorsky TL, LaForge K. The Interprofessional Care Access Network (I-CAN): achieving client health outcomes by addressing social determinants in the community. J Interprof Care 2023; 37:S45-S52. [PMID: 30585089 DOI: 10.1080/13561820.2018.1560246] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Revised: 11/26/2018] [Accepted: 11/28/2018] [Indexed: 01/17/2023]
Abstract
Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.
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Affiliation(s)
| | - Peggy Wros
- OHSU School of Nursing, Portland, OR, USA
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McKinlay E, White K, Garrett S, Gladman T, Pullon S. Work-place cancer and palliative care interprofessional education: experiences of students and staff. J Interprof Care 2023; 37:29-38. [PMID: 34723716 DOI: 10.1080/13561820.2021.1981259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Workplace-based interprofessional education (IPE) offers opportunities for pre-registration students to interact with patients in authentic settings. Senior dietetic, medical, nursing, physiotherapy and radiation therapy students took part in a workplace IPE initiative on cancer and palliative care informed by experiential learning theory and run by clinical tutors. Research was undertaken to gauge students and tutors' experiences of the initiative. The mixed methods approach included: Pre and post-administration of the University of West England Interprofessional questionnaire 'Communication and Teamwork Scale, 'Interprofessional Learning Scale,' 'Interprofessional Interaction Scale.' Two questions were added relating to cancer and palliative care. Separate focus group interviews were held with students and tutors. There was a positive shift in the Communication and Teamwork scale based on students' pre and post questionnaires, but no change in the other two scales. Analysis of student and tutor focus group data showed that both affirmed the IPE initiative for a range of reasons. A brief experiential, theory-informed IPE initiative with a focus on cancer and palliative care was well received by both students and clinical tutors. The mixed method approach highlighted some discrepancies between quantitative and qualitative results but when synthesized were explicable, demonstrating the value of using a mixed methods approach to research.
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Affiliation(s)
| | - Kristen White
- Professional Practice Fellow Dietetics, University of Otago, Dunedin, New Zealand
| | - Sue Garrett
- University of Otago Wellington, Wellington, New Zealand
| | - Tehmina Gladman
- Education Advisor, Education Unit, University of Otago Wellington, Wellington, New Zealand
| | - Sue Pullon
- University of Otago Wellington, Wellington, New Zealand
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Jensen CB, Norbye B, Dahlgren MA, Iversen A. Getting real in interprofessional clinical placements: patient-centeredness in student teams' collaborative learning. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2022:1-17. [PMID: 36342638 PMCID: PMC9638371 DOI: 10.1007/s10459-022-10182-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 10/31/2022] [Indexed: 06/16/2023]
Abstract
Collaboration between healthcare providers helps tackle the increasing complexity of healthcare. When learning teamwork, interprofessional students are expected to work patient-centered; recognizing the patient's expertise and partnering with them. Research on interprofessional education (IPE) for undergraduates has illuminated learning outcomes, organization of learning activities, change in attitudes, etc. But, we know little about the interaction between patients and interprofessional student teams. This study aimed to explore how interprofessional student teams and patients interact in interprofessional clinical placements. With a focused ethnographic approach, participant observation and qualitative interviews were conducted in two contexts; a physical and an online arrangement. Central ideas in Goffman's dramaturgy constituted a theoretical lens. A reflexive thematic analysis generated three themes: (1) Preparing safe and comfortable encounters with patients, (2) Including and excluding the patient in the encounter, and (3) Adjusting to the patient's situation. We identified students' intentions of patient-centeredness when preparing encounters, but patients did not always feel included and listened to in encounters. After encountering patients, student teams adjusted their teamwork, by changing the team composition or the planned clinical interventions to better meet the patients' needs. Notably, team-based patient encounters led to a different view of the patient, their health issues, and how to collaborate. Our findings can inform educators of the importance of addressing patient-centered care in interprofessional learning arrangements. Today, clinical interprofessional placements may not exploit the potential for learning about patient-centeredness. A thematization of this, e.g., in supervision in future clinical placements can ensure an enhanced focus on this in interprofessional teamwork.
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Affiliation(s)
- Catrine Buck Jensen
- Centre for Faculty Development, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
| | - Bente Norbye
- Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037, Tromsø, Norway
| | - Madeleine Abrandt Dahlgren
- Centre for Faculty Development, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Anita Iversen
- Centre for Faculty Development, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
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13
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Hams A, Bell N, Jones T. Evaluating the Impact of a Regional Student-Led Physiotherapy Clinic Model to Improve Self-Reported Function in Community-Dwelling Adults With Neurological Diagnoses. J Neurol Phys Ther 2022; 46:206-212. [PMID: 35412496 DOI: 10.1097/npt.0000000000000399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND PURPOSE Neurological conditions are a major cause of health morbidity that negatively impacts function and quality of life (QoL). Despite this burden, community services are disproportionally scarce. Student-led physiotherapy services (SLSs) are a model that can increase community access to health care while providing authentic clinical experiences for students. SLSs consistently demonstrate high client satisfaction; however, limited evaluation of the impact of this model on the client's clinical outcomes exists. Therefore the aim of this project was to evaluate the impact of a physiotherapy student-led community-based rehabilitation service. METHODS The SLS operated 4 days a week over a 15-week period. Forty-two community-dwelling clients (mean age 74 years) with a neurological diagnosis were included. During initial consultation, participants completed basic demographics, up to 3 Patient-Specific Functional Scales (PSFSs) and a QoL questionnaire (World Health Organization Quality of Life-Brief Questionnaire [WHOQOL-BREF]). At discharge, participants completed the WHOQOL-BREF, PSFS, and a patient experience survey. Risk event data were also collected. RESULTS Over half of the PSFS items targeted mobility (55%). There was a significant improvement (P < 0.05) in median change (quartiles) for pre-/post-PSFS scores for clients whose primary condition was balance 1.0 (0.0-3.0), cerebrovascular accident 1.0 (2.0-3.0) or multiple Sclerosis 1.0 (1.0-2.0), and mean (SD) WHOQOL-BREF scores for Physical Health (12.2 ± 1.5 to 13.1 ± 1.3) and Social Relationships (12.7 ± 2.7 to 16.6 ± 3.3). Patient experience survey results indicated that clients had confidence and trust in students. No adverse events were reported. DISCUSSION AND CONCLUSIONS The SLS model provides a strategy to increase access to health care and clinical placement capacity. Findings demonstrated improved self-rated function, QoL, and positive patient experience for community-dwelling clients with nonacute neurological diagnoses.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A380).
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Affiliation(s)
- Andrea Hams
- Griffith University, Gold Coast, Australia (A.H., T.J.); Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia (A.H.); and Physique Health, Tamborine Mountain, Australia (N.B.)
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14
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Doucet JR, Fournier TA, Bishop CM, Gaudet DJ, Nagel DA. Pilot of a community-based interprofessional "student-infused" pulmonary rehabilitation program in Saint John, New Brunswick. CANADIAN JOURNAL OF RESPIRATORY THERAPY : CJRT = REVUE CANADIENNE DE LA THERAPIE RESPIRATOIRE : RCTR 2022; 57:26-31. [PMID: 35295955 PMCID: PMC8919708 DOI: 10.29390/cjrt-2020-053] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Background With the increasing prevalence of chronic pulmonary conditions in New Brunswick and Canada it is necessary to consider innovative interventions to improve access to rehabilitation and supportive care for affected clients. In Fall 2018 we piloted a pulmonary rehabilitation (PR) program for persons with moderate to severe chronic obstructive pulmonary disease (COPD) to demonstrate a novel approach of bridging interprofessional education of students in health care fields with provision of care in a community setting. Methods An 8-week PR program was implemented and evaluated using a quasi-experimental design with pre- and post-testing to measure the effects of the program’s exercise and educational interventions on persons with COPD. Participants were assessed using the 6-Minute Walk Test (6MWT), the St. George’s Respiratory Questionnaire (SGRQ), and a custom questionnaire that rated the participants’ activities of daily living and the PR program. Results Seven participants completed our PR program. Following the intervention, participants’ self-reported health demonstrated a statistically significant improvement. Even though changes on the 6MWT and SGRQ were not shown to be statistically significant, there was evidence of clinically meaningful improvements in those measures. On average, participants walked 25 m further postintervention and showed clinically meaningful improvements on the SGRQ. Conclusions This pilot project demonstrated that a community-based PR program with active involvement of students from multiple health care programs can have positive outcomes for clients with COPD. It also illustrated how educational programs can provide an innovative means for increasing access to rehabilitation and supportive care for clients in the community.
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Affiliation(s)
- John R Doucet
- Allied Health Department, School of Health, New Brunswick Community College, Saint John, Canada
| | - Tammie A Fournier
- Allied Health Department, School of Health, New Brunswick Community College, Saint John, Canada
| | - Christy M Bishop
- Allied Health Department, School of Health, New Brunswick Community College, Saint John, Canada
| | - Derek J Gaudet
- Department of Psychology, University of New Brunswick, Saint John, Canada
| | - Daniel A Nagel
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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Pigott A, Patterson F, Prescott S, Doig E, Fleming J, Fitzgerald C, Laracy S, McKenzie A, Searles J, Strong J, Tornatore G, Whitehead M. Exploring the patient perspectives of student‐resourced service delivery of rehabilitation groups: A qualitative study. Aust Occup Ther J 2021. [DOI: 10.1111/1440-1630.12776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Amanda Pigott
- Occupational Therapy Department, Princess Alexandra Hospital Metro South Health Brisbane Australia
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia
| | - Freyr Patterson
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia
| | - Sarah Prescott
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia
| | - Emmah Doig
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia
| | - Jennifer Fleming
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia
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16
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Montano AR, Cornell PY, Gravenstein S. Barriers and facilitators to interprofessional collaborative practice for community-dwelling older adults: An integrative review. J Clin Nurs 2021; 32:1534-1548. [PMID: 34405476 DOI: 10.1111/jocn.15991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 06/28/2021] [Accepted: 07/23/2021] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES The aim of this integrative review was to synthesise empirical reports of interprofessional collaborative practice (IPCP) for community-dwelling older adults and uncover barriers and facilitators related to its success as a model of care for this population. BACKGROUND IPCP is a model of care that has demonstrated positive outcomes for community-dwelling older adults. However, a summary of barriers and facilitators to IPCP models has not been presented. METHODS An integrative review using the method posited by Whittemore and Knafl was completed to identify barriers and facilitators to IPCP for community-dwelling older adults. The literature search was reported following PRISMA guidelines. RESULTS Four themes emerged as barriers to IPCP: (1) A (Potential) Logistical Nightmare, (2) All About the Money, (3) If We Can't Test It, Can We Recommend It? and (4) Challenging for the Team, Challenging for the Client. Three themes emerged as facilitators to IPCP: (1) Reducing Resource Waste, (2) The "C" in IPCP and (3) What Matters Most. CONCLUSIONS IPCP models for community-dwelling older adults must adapt to the setting of care and client needs. Interprofessional education opportunities for team members facilitate effective IPCP. Healthcare policies and funding structures need to address IPCP for community-dwelling older adults for this model to be successful and sustainable. RELEVANCE TO CLINICAL PRACTICE Nurses participate on and lead IPCP teams caring for community-dwelling older adults and, therefore, need to be aware of barriers and facilitators to this model of care.
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Affiliation(s)
- Anna-Rae Montano
- Brown University School of Public Health, Providence, RI, USA.,Providence VA Medical Center, Providence, RI, USA
| | - Portia Y Cornell
- Brown University School of Public Health, Providence, RI, USA.,Providence VA Medical Center, Providence, RI, USA
| | - Stefan Gravenstein
- Brown University School of Public Health, Providence, RI, USA.,Providence VA Medical Center, Providence, RI, USA.,Brown University Warren Alpert Medical School, Providence, RI, USA
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Almoghirah H, Nazar H, Illing J. Assessment tools in pre-licensure interprofessional education: A systematic review, quality appraisal and narrative synthesis. MEDICAL EDUCATION 2021; 55:795-807. [PMID: 33440040 DOI: 10.1111/medu.14453] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 01/07/2021] [Accepted: 01/09/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVES Interprofessional education (IPE) aims to provide students with the opportunity to develop and demonstrate the team working behaviours and skills that will lead to positive patient outcomes. This systematic review aims to identify and critically appraise the assessment tools used after a pre-licensure IPE intervention and provide guidance on which tool to use according to the focus of the intervention. METHODS In July 2019, the following electronic databases were searched: MEDLINE, ERIC, CINHAL, EMBASE and NEXUS website. All studies involving pre-licensure health care students exposed to an IPE intervention and undertook an assessment measuring student knowledge, skills, behaviour, or change in organisational practice or a benefit to patients were included. Studies that used tools relying on self-assessment only were excluded. Constructive alignment of the IPE intervention with the assessment was evaluated and quality assessment of the studies and critical appraisal of the validity evidence for the tools was undertaken. RESULTS From 9502 returned studies, 39 studies met the inclusion criteria and were analysed. These were rated as good in terms of methodological quality. Acquisition of knowledge was the most commonly assessed outcome, mainly with pre/post knowledge tests, followed by behaviour change, which was measured by a range of validated tools. Patient benefit was defined as change in clinical effectiveness, patient safety or patient satisfaction. Constructive alignment of the IPE aim with the assessment was limited due to issues with study reporting. Tools measuring behaviour change demonstrate mixed adherence to quality standards around reliability, validity and scales and scoring. CONCLUSIONS Various methods have been used to identify change following IPE; however, choosing the most appropriate tool to support and align with the aim of the IPE intervention is crucial. We have critically appraised the available tools and offered an indication of their quality. This has informed the production of a decision aid to support the selection of the appropriate IPE assessment tool depending on the purpose of the intervention. More studies using these tools in rigorous study designs are required to substantiate the evidence base.
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Affiliation(s)
- Hailah Almoghirah
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
- Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Hamde Nazar
- School of Pharmacy, Newcastle University, Newcastle upon Tyne, UK
| | - Jan Illing
- Health Professions Education Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
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18
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Niwa L, MacLellan CL. Learning and satisfaction in a student-led clinic. CLINICAL TEACHER 2021; 18:391-397. [PMID: 33660396 DOI: 10.1111/tct.13339] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 01/20/2021] [Accepted: 01/28/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Student-led clinics (SLCs) offer unique clinical placement experiences and address unmet community rehabilitation needs. There is growing evidence that SLCs provide high-quality experiential practice and adequate quality of patient care. The purpose of this study was to evaluate patient satisfaction with student-led care and students' perception of their learning experiences in a student-led physiotherapy clinic. METHODS Eight participants with total hip arthroplasty attended 6 weeks of student-led group exercise classes. As a marker of quality of care, we assessed key outcomes including walking speed and endurance, lower extremity function, falls risk and self-reported quality of life after 3 and 6 weeks. Patients completed a satisfaction survey at the end of the program. Ten students who completed a placement during this time shared their perception of learning in the SLC. RESULTS Student-led group exercise class was associated with improvements in walking speed and endurance, lower extremity function, a decrease in falls risk and improved quality of life. Patients were satisfied with their care. The SLC was a safe learning environment in which students felt well-supported to develop confidence and independence, were encouraged to reflect on performance and take responsibility for care provided. CONCLUSION Patients are largely satisfied with the quality of care provided. High-quality authentic clinical learning opportunities provided in the SLC may offer pedagogical benefits over traditional practicums, and students are generally satisfied with their learning experiences. SLCs may provide a setting to expose students to research and gain appreciation for evidence-based practice.
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Affiliation(s)
- Laura Niwa
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Crystal L MacLellan
- Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
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Hopkins S, Bacon R, Flynn A. Student outcomes for interprofessional education in student led clinics: A rapid review. J Interprof Care 2021; 36:234-244. [PMID: 33435773 DOI: 10.1080/13561820.2020.1858767] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Student-led clinics provide a unique opportunity for interprofessional education as part of the education of future allied health professionals. A rapid review was conducted to determine the benefits to allied health students participating in interprofessional education in student-led clinics. Studies were included if they took place within a student-led clinic, reported on outcomes for students and where the clinic involved interprofessional education for students from either two or more allied health professions, or one allied health and one nursing student. Results were analyzed using a descriptive qualitative approach. Five themes were identified: (a) understanding of own role and scope of practice; (b) understanding of the role and scope of practice of other professions; (c) individual benefits to the students; (d) impact on patient-centered care; and (c) understanding of how to work in an interprofessional team. These benefits indicate that student-led clinics are a suitable setting for the delivery of interprofessional education to allied health students. More research is needed that considers the long-term impact on these student outcomes following students' entry into the healthcare profession, as well as on the impact of specific components of the interprofessional education models on student outcomes.
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Affiliation(s)
- Sian Hopkins
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Canberra, Australia
| | - Rachel Bacon
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Canberra, Australia
| | - Allyson Flynn
- Discipline of Physiotherapy, Faculty of Health, University of Canberra, Canberra, Australia
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20
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Forbes R, Beckman E, Tower M, Mandrusiak A, Mitchell LK, Sexton CT, Cunningham B, Lewis PA. Interprofessional, student-led community health clinic: expanding service provision and clinical education capacity. AUST HEALTH REV 2020; 45:255-260. [PMID: 33166247 DOI: 10.1071/ah20021] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 07/13/2020] [Indexed: 11/23/2022]
Abstract
Student-led interprofessional health clinics offer valuable opportunities for student learning and meeting the health care needs of the community. This case study describes the operation of a new interprofessional student-led community health service over its initial 13-month period of operation. This case study also presents an overview of the service provision, student placement opportunities and focuses on the challenges associated with the service and the impact on future planning.
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Affiliation(s)
- Roma Forbes
- School of Health and Rehabilitation Sciences, Therapies Annexe, St Lucia Campus, The University of Queensland, Qld 4072, Australia. ; and Corresponding author.
| | - Emma Beckman
- School of Human Movement and Nutrition Sciences, Human Movement Studies Building, St Lucia Campus, The University of Queensland, Qld 4072, Australia. ;
| | - Marion Tower
- School of Nursing, Midwifery and Social Work, Chamberlain Building, St Lucia Campus, The University of Queensland, Qld 4072, Australia. ;
| | - Allison Mandrusiak
- School of Health and Rehabilitation Sciences, Therapies Annexe, St Lucia Campus, The University of Queensland, Qld 4072, Australia.
| | - Leander K Mitchell
- School of Psychology, McElwain Building, St Lucia Campus, The University of Queensland, Qld 4072, Australia.
| | - Christopher T Sexton
- School of Dentistry, The Oral Health Centre, Herston Campus, The University of Queensland, Qld 4006, Australia.
| | - Brent Cunningham
- School of Human Movement and Nutrition Sciences, Human Movement Studies Building, St Lucia Campus, The University of Queensland, Qld 4072, Australia. ;
| | - Peter A Lewis
- School of Nursing, Midwifery and Social Work, Chamberlain Building, St Lucia Campus, The University of Queensland, Qld 4072, Australia. ;
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21
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Bok C, Ng CH, Koh JWH, Ong ZH, Ghazali HZB, Tan LHE, Ong YT, Cheong CWS, Chin AMC, Mason S, Krishna LKR. Interprofessional communication (IPC) for medical students: a scoping review. BMC MEDICAL EDUCATION 2020; 20:372. [PMID: 33081781 PMCID: PMC7574565 DOI: 10.1186/s12909-020-02296-x] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 10/09/2020] [Indexed: 05/13/2023]
Abstract
BACKGROUND Effective Interprofessional Communication (IPC) between healthcare professionals enhances teamwork and improves patient care. Yet IPC training remains poorly structured in medical schools. To address this gap, a scoping review is proposed to study current IPC training approaches in medical schools. METHODS Krishna's Systematic Evidence Based Approach (SEBA) was used to guide a scoping review of IPC training for medical students published between 1 January 2000 to 31 December 2018 in PubMed, ScienceDirect, JSTOR, Google Scholar, ERIC, Embase, Scopus and PsycINFO. The data accrued was independently analysed using thematic and content analysis to enhance the reproducibility and transparency of this SEBA guided review. RESULTS 17,809 titles and abstracts were found, 250 full-text articles were reviewed and 73 full text articles were included. Directed Content analysis revealed 4 categories corresponding to the levels of the Miller's Pyramid whilst thematic analysis revealed 5 themes including the indications, stages of trainings and evaluations, content, challenges and outcomes of IPC training. Many longitudinal programs were designed around the levels of Miller's Pyramid. CONCLUSION IPC training is a stage-wise, competency-based learning process that pivots on a learner-centric spiralled curriculum. Progress from one stage to the next requires attainment of the particular competencies within each stage of the training process. Whilst further studies into the dynamics of IPC interactions, assessment methods and structuring of these programs are required, we forward an evidenced based framework to guide design of future IPC programs.
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Affiliation(s)
- Chermaine Bok
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Cheng Han Ng
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Jeffery Wei Heng Koh
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
- Department of Pharmacy, Faculty of Science, National University of Singapore, Block S4A, Level 3, 18 Science Drive 4, Singapore, 117543, Singapore
| | - Zhi Hao Ong
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Haziratul Zakirah Binte Ghazali
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
- School of Life Science and Chemical Technology, Ngee Ann Polytechnic, 535 Clementi Road, Singapore, 599489, Singapore
| | - Lorraine Hui En Tan
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Yun Ting Ong
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Clarissa Wei Shuen Cheong
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore
| | - Annelissa Mien Chew Chin
- Medical Library, National University of Singapore Libraries, Centre for Translational Medicine, National University of Singapore, Blk MD6, 14 Medical Drive, #05-01, Singapore, 11759, Singapore
| | - Stephen Mason
- Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, Cancer Research Centre, University of Liverpool, 200 London Road, Liverpool, L3 9TA, UK
| | - Lalit Kumar Radha Krishna
- Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore.
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore.
- Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, Cancer Research Centre, University of Liverpool, 200 London Road, Liverpool, L3 9TA, UK.
- Centre for Biomedical Ethics, National University of Singapore, Blk MD11, 10 Medical Drive, #02-03, Singapore, 117597, Singapore.
- Duke-NUS Graduate Medical School, 8 College Road, Singapore, 169857, Singapore.
- Division of Cancer Education, National Cancer Centre Singapore, Level 4, 11 Hospital Drive, Singapore, 169610, Singapore.
- PalC, The Palliative Care Centre for Excellence in Research and Education, PalC c/o Dover Park Hospice, 10 Jalan Tan Tock Seng, Singapore, 308436, Singapore.
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22
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Jakobsen F, Glassou EN, Kirkeby L, Hansen TB. Patients' experiences of being treated by an interprofessional student team compared with uniprofessional treatment by residents supported by nurses: a case study. J Interprof Care 2020; 35:546-551. [PMID: 32552172 DOI: 10.1080/13561820.2020.1763276] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Clinical experience, preferably interprofessional, is an important part of health professionals' undergraduate training. In recent years, more and more patient treatment has been moving to outpatient clinics with research suggesting hat this shift is not compromising students' learning outcomes. The purpose of this study was to explore orthopedic outpatients' perceived experiences of being treated by an interprofessional student team consisting of one medical and one nursing student versus being treated by a resident doctor supported by nurses in a uniprofessional setup. We performed an exploratory single case study with two embedded units: 1) a quantitative part with a survey (n = 89) including seven questions and 2) a qualitative part with interviews (n = 46). In the questionnaire, three of the seven questions revealed a significant difference in favor of the student teams. However, the qualitative part of the study did not indicate any differences between the groups. In this study, patients' experiences in an orthopedic outpatient clinic were not influenced by being treated by interprofessional student teams compared to normal patient pathway with registrars and nurses working uniprofessionally. This information is important in designing and implementing student curriculums with clinical training in outpatient clinics. Furthermore, the interprofessional student team can undertake unassisted consultations with selected patients with indirect supervision from the supervisors, making the clinical setting realistic for the students. However, in this teaching model, feedback to the students relies only on the students' written patient records; even if patient satisfaction is high, structured observation of student performance may be necessary as a supplementary teaching tool. This may be incorporated in future studies of patient-student relations in clinical training in an outpatient setting.
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Affiliation(s)
- Flemming Jakobsen
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Herning, Denmark
| | - Eva Natalia Glassou
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Herning, Denmark.,Department of Quality, Regional Hospital West Jutland, Herning, Denmark
| | - Lone Kirkeby
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Herning, Denmark.,Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Torben Bæk Hansen
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Herning, Denmark.,Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
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23
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Montano AR, Shellman J, Malcolm M, McDonald D, Rees C, Fortinsky R, Reagan L. A mixed methods evaluation of got care! Geriatr Nurs 2020; 41:822-831. [PMID: 32532562 DOI: 10.1016/j.gerinurse.2020.04.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 04/23/2020] [Accepted: 04/27/2020] [Indexed: 11/30/2022]
Abstract
This study aimed to assess the relationship between an Interprofessional Collaborative Practice (IPCP) intervention for community-dwelling older adults, Geriatric Outreach and Training with Care! (GOT Care!), and the observed 26% reduction in Emergency Department (ED) visits for the 51 older adult participants. A convergent parallel mixed-methods design was utilized. Demographic data and ED visit data were collected and analyzed using paired-samples t-tests, poisson regression and generalized poisson regression. Stakeholder perspectives were assessed via emailed open-ended surveys and analyzed using content analysis. The quantitative results were transformed into trends that were compared and contrasted with the qualitative themes. The results were consistent with the current literature that IPCP models may have a greater impact on older adults with certain demographic characteristics such as polypharmacy, diabetes and prior ED use, while nursing was identified as an ideal leader for IPCP teams.
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Affiliation(s)
- Anna-Rae Montano
- University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States.
| | - Juliette Shellman
- University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States.
| | - Millicent Malcolm
- University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States.
| | - Deborah McDonald
- University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States.
| | - Catherine Rees
- Middlesex Health, 28 Crescent Street, Middletown, CT 06457, United States.
| | - Richard Fortinsky
- UConn Center on Aging, UConn Health, 263 Farmington Avenue, Farmington, CT 06030-5215, United States.
| | - Louise Reagan
- University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States.
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24
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Millington P, Hellawell M, Graham C, Edwards L. Healthcare practice placements: back to the drawing board? ACTA ACUST UNITED AC 2019. [DOI: 10.12968/bjhc.2019.25.3.145] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Paul Millington
- Lecturer in Physiotherapy, University of Bradford, Bradford, UK
| | - Michael Hellawell
- Physiotherapy Professional Lead, University of Bradford, Bradford, UK
| | - Claire Graham
- Physiotherapy Programme Lead, University of Bradford, Bradford, UK
| | - Lisa Edwards
- Lecturer in Physiotherapy, University of Bradford, Bradford, UK
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25
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Kerry MJ, Huber M. Quantitative methods in interprofessional education research: some critical reflections and ideas to improving rigor. J Interprof Care 2018; 32:254-256. [PMID: 29333907 DOI: 10.1080/13561820.2018.1426267] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Matthew James Kerry
- a Department of Management, Technology, and Economics, The Swiss Federal Institute of Technology (ETH - Zurich) , Zürich , Switzerland
| | - Marion Huber
- b Interprofessional Teaching and Practice Unit, Institute for Health Sciences , Zurich University of Applied Sciences (ZHAW) , Zurich , Switzerland
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26
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Elnicki DM, Aiyer MK, Cannarozzi ML, Carbo A, Chelminski PR, Chheda SG, Chudgar SM, Harrell HE, Hood LC, Horn M, Johl K, Kane GC, McNeill DB, Muntz MD, Pereira AG, Stewart E, Tarantino H, Vu TR. An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers. J Gen Intern Med 2017. [PMID: 28634908 PMCID: PMC5653547 DOI: 10.1007/s11606-017-4089-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residency (CEPAERs). A committee comprising members of the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine applied these principles to preparing students for internal medicine residencies. The authors propose a curricular framework based on five CEPAERs that were felt to be most relevant to residency preparation, informed by prior stakeholder surveys. The critical areas outlined include entering orders, forming and answering clinical questions, conducting patient care handovers, collaborating interprofessionally, and recognizing patients requiring urgent care and initiating that care. For each CEPAER, the authors offer suggestions about instruction and assessment of competency. The fourth year of medical school can be rewarding for students, while adequately preparing them to begin residency, by addressing important elements defined in the core entrustable activities. Thus prepared, new residents can function safely and competently in supervised postgraduate settings.
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Affiliation(s)
- D Michael Elnicki
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. .,University of Pittsburgh, Pittsburgh, PA, USA.
| | - Meenakshy K Aiyer
- University of Illinois College of Medicine at Peoria, Peoria, IL, USA
| | | | - Alexander Carbo
- Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Paul R Chelminski
- University of North Carolina School of Medicine, Chapel Hill, NC, USA
| | - Shobhina G Chheda
- University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | | | | | - L Chad Hood
- University of Central Florida College of Medicine, Orlando, FL, USA
| | - Michelle Horn
- University of Mississippi School of Medicine, Jackson, MS, USA
| | - Karnjit Johl
- University of California-Davis School of Medicine, Sacramento, CA, USA
| | - Gregory C Kane
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA
| | | | | | - Anne G Pereira
- University of Minnesota Medical School, Minneapolis, MN, USA
| | - Emily Stewart
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA
| | | | - T Robert Vu
- Indiana University School of Medicine, Charlotte, NC, USA
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27
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Jakobsen F, Mørcke AM, Hansen TB. The interprofessional learning experience: Findings from a qualitative study based in an outpatient setting. J Interprof Care 2017; 31:613-619. [PMID: 28692377 DOI: 10.1080/13561820.2017.1322560] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Flemming Jakobsen
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Aarhus University, Aarhus, Denmark
| | - Anne Mette Mørcke
- Copenhagen Academy for Medical Education and Simulation, Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
| | - Torben Bæk Hansen
- University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Aarhus University, Aarhus, Denmark
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28
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Patterson F, Fleming J, Marshall K, Ninness N. Student perspectives of a Student-Led Groups Program model of professional practice education in a brain injury rehabilitation unit. Aust Occup Ther J 2017; 64:391-399. [DOI: 10.1111/1440-1630.12382] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Freyr Patterson
- The School of Health and Rehabilitation Sciences; The University of Queensland; Brisbane Queensland Australia
| | - Jennifer Fleming
- The School of Health and Rehabilitation Sciences; The University of Queensland; Brisbane Queensland Australia
- Occupational Therapy Department; Princess Alexandra Hospital; Brisbane Queensland Australia
- Centre for Functioning and Health Research; Queensland Health; Brisbane Queensland Australia
| | - Kathryn Marshall
- Occupational Therapy Department; Princess Alexandra Hospital; Brisbane Queensland Australia
| | - Nadine Ninness
- Occupational Therapy Department; Princess Alexandra Hospital; Brisbane Queensland Australia
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